Breast Augmentation (Augmentation Mammoplasty) Implants


There has been a great deal of concern about breast implants. It’s important to know that all breast implants now are saline (salt water) filled. If a leak or problem does occur, the salt water leaks out and is absorbed into the tissues without any difficulty. Implants come in many textures and sizes; you and your surgeon will discuss the importance of selecting the right size.

This procedure generally is done for women who are unhappy with their breast size, who have imbalanced breasts (one larger than the other) or who are looking for reconstructive surgery following other types of breast surgery, such as breast cancer.

The operation is completed with the patient under general anesthesia, usually on an outpatient basis. The implant is placed through an incision made either under the breast, around the nipple or under the arm. Most surgeons prefer the incision under the breast in the fold of skin. The procedure takes about one to two hours. Poor healing and, therefore, wider scars are more common in patients who smoke or have an infection. There also is a possibility of losing feelings in your nipples or breasts temporarily or permanently.

This type of surgery does enlarge the breasts, but doesn’t usually change the shape of the breasts. Studies also have shown that women with implants are not at a higher risk for breast cancer. They should continue performing breast self exams and having mammograms as recommended by their primary care physician. It is important to tell the mammography technician about the implants so that the correct views can be performed.

Making an Appointment

For a consultation with a Washington University cosmetic surgeon, please call (314) 362-4452.

Other breast treatments.

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Washington University physicians are the medical staff of
Barnes-Jewish Hospital and St. Louis Children's Hospital

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